Achilles Tendinopathy

Problems that affect the Achilles tendon are common among active adolescents and young athletes. The Achilles tendon is the large tendon, located at the back of the ankle, that inserts into the heel bone. The Achilles tendon connects the leg muscles to the foot and gives us the ability to push off during walking, running and jumping activities.

Achilles tendinopathy occurs due to a series of micro-tears in the tendon that weaken the tendon, resulting in localised swelling and pain with running and jumping sports. Until recently Achilles Tendinopathy was commonly referred to as Achilles Tendonitis.

What causes Achilles Tendinopathy?

There are several factors that may contribute to the development of Achilles tendon problems in young people:

Increase in sports training routine: a sudden increase in the intensity, frequency or duration of sporting activity or a decrease in recovery time between training sessions

What are the signs and symptoms of Achilles Tendinopathy?

The pain caused by Achilles tendinopathy can develop gradually and may initially be experienced only after sport. As the injury worsens, pain is often felt during sporting activities and may also be present during normal daily activities.

The most common symptoms of Achilles tendinopathy include:

Pain and tenderness in the Achilles tendon area behind the ankle, especially if you pinch the tendon between your fingers

Swelling around the tendon

Stiffness and pain most noticeable in the morning on first arising

Weakness when hopping, jumping or skipping on the affected leg

How is Achilles Tendinopathy diagnosed?

Your Podiatrist will take a comprehensive medical history and perform a physical examination and gait analysis. The assessment will include:

Home Exercise Program – exercises to stretch and strengthen the Achilles tendon, calf and foot muscles are an integral part of the treatment plan and will reduce the likelihood of injury recurrence

Joint Mobilisation – in addition to a stretching program, joint mobilizations can help to improve foot and ankle flexibility

Massage Therapy

Medication – sometimes a short course of non-steroidal anti-inflammatory medications (eg. Voltaren, Nurofen) can be a helpful short-term adjunct in reducing inflammation and pain

Return to sports training should be gradual and guided by your Podiatrist.

What should I do if my child has Achilles tendon pain?

If your child is experiencing Achilles tendon pain, or you are concerned about their gait or foot posture, don’t hesitate to consult with our experienced paediatric podiatrists for a comprehensive walking assessment and professional advice.